Jillian David
@jilliandavid.bsky.social
Romance author. Drafts quickly, edits slowly. Rural FP/Ob. Specializes in chocolate. Runs trails. Advocate: all healthcare options for each person.
*my opinions only -- NOT MEDICAL/PROFESSIONAL ADVICE*
Newsletter, books: https://linktr.ee/JillianDavid
*my opinions only -- NOT MEDICAL/PROFESSIONAL ADVICE*
Newsletter, books: https://linktr.ee/JillianDavid
Reposted by Jillian David
Fine, fair enough. I worked in ONE facility that was technically rural but was quite a bit bigger than a critical access hospital, and they had 2 cards who could do basic catheterizations. That location was rural, but the hospital rode like a secondary care center. Different situation, IMO.
November 18, 2025 at 1:02 AM
Fine, fair enough. I worked in ONE facility that was technically rural but was quite a bit bigger than a critical access hospital, and they had 2 cards who could do basic catheterizations. That location was rural, but the hospital rode like a secondary care center. Different situation, IMO.
First, you're not wrong
Second, rural cards are generally outpatient bc NO CATH LAB. They will only cross the threshold of the rural facility under duress or coercion
Third, cardiologists aren't trained to manage super sick kids, ortho injuries, complex lacs, trauma. They do other stuff entirely
Second, rural cards are generally outpatient bc NO CATH LAB. They will only cross the threshold of the rural facility under duress or coercion
Third, cardiologists aren't trained to manage super sick kids, ortho injuries, complex lacs, trauma. They do other stuff entirely
November 18, 2025 at 1:02 AM
First, you're not wrong
Second, rural cards are generally outpatient bc NO CATH LAB. They will only cross the threshold of the rural facility under duress or coercion
Third, cardiologists aren't trained to manage super sick kids, ortho injuries, complex lacs, trauma. They do other stuff entirely
Second, rural cards are generally outpatient bc NO CATH LAB. They will only cross the threshold of the rural facility under duress or coercion
Third, cardiologists aren't trained to manage super sick kids, ortho injuries, complex lacs, trauma. They do other stuff entirely
Oof, basic premises are just SO DANG OFF BASE.
A general surgeon who did a family medicine fellowship in Alaska to pad their resume? What?
Paper charts?
Army surgeon goes back home to join a local family practice .. as a family doctor??
Like, we know that none of this would ever happen, right?
A general surgeon who did a family medicine fellowship in Alaska to pad their resume? What?
Paper charts?
Army surgeon goes back home to join a local family practice .. as a family doctor??
Like, we know that none of this would ever happen, right?
November 18, 2025 at 12:45 AM
Oof, basic premises are just SO DANG OFF BASE.
A general surgeon who did a family medicine fellowship in Alaska to pad their resume? What?
Paper charts?
Army surgeon goes back home to join a local family practice .. as a family doctor??
Like, we know that none of this would ever happen, right?
A general surgeon who did a family medicine fellowship in Alaska to pad their resume? What?
Paper charts?
Army surgeon goes back home to join a local family practice .. as a family doctor??
Like, we know that none of this would ever happen, right?
I mean, what IS a child, right?
a woman is looking at a triangle with a mathematical equation written on it .
Alt: a woman is looking at a triangle with a mathematical equation written on it .
media.tenor.com
November 17, 2025 at 1:26 AM
I mean, what IS a child, right?
don't you mean "clots and bayers"?
November 14, 2025 at 2:29 AM
don't you mean "clots and bayers"?
So, right I first saw this picture and thought what I thought ... does that amount to a venial sin or a mortal sin?
Unrelated: when we write "his jawline could cut glass" this is what we mean, amen
Unrelated: when we write "his jawline could cut glass" this is what we mean, amen
November 13, 2025 at 2:33 AM
So, right I first saw this picture and thought what I thought ... does that amount to a venial sin or a mortal sin?
Unrelated: when we write "his jawline could cut glass" this is what we mean, amen
Unrelated: when we write "his jawline could cut glass" this is what we mean, amen
The number of times I had to close the computer and walk the hell away in the past 48 hours has got to be some kind of record.
November 13, 2025 at 12:54 AM
The number of times I had to close the computer and walk the hell away in the past 48 hours has got to be some kind of record.